scholarly journals Laparoscopic sleeve gastrectomy versus laparoscopic mini-gastric bypass and early metabolic outcome in super-obese patients

2019 ◽  
Vol 7 (1) ◽  
pp. 18
Author(s):  
Mohammed Nazeeh Shaker Nassar ◽  
Abdallah Salah Eldin Abdallah ◽  
Hesham Wefky Anwar Hasan ◽  
Ibrahim Aboulfotoh Mohammed
Keyword(s):  
Weight Loss ◽  
Gastric Bypass ◽  
Mini Gastric Bypass ◽  
Obese Patients ◽  
University Hospitals ◽  
Super Obese ◽  
Percent Excess Weight Loss ◽  
Optimal Procedures ◽  
Group B ◽  
Surgery Department

Background: Bariatric surgery became the most popular choice in the management of obesity. Laparoscopic sleeve gastrostomy (LSG) and laparoscopic mini-gastric bypass (LMGB) has taken place in weight-loss and improvement in comorbidities.Methods: This was a retrospective cohort study with equal allocation included 112 super-obese patients with body mass index ≥50 kg/m2, which carried out in General Surgery department of Al-Azhar University Hospitals, between January 2016 and December 2018. 56 patients underwent LSG (Group A), and 56 patients underwent LMGB (Group B). Metabolic effect and weight loss outcomes were evaluated over one year.Results: Operative time was shorter in LSG than LMGB (64.3±33.32 min versus 70±37.24 min). There was a highly significant more weight loss in LSG than in LMGB at 6 and 12 months following the surgery. Also, improvement of type 2 diabetes mellitus, hypertension, hyperlipidemia, and quality of life occurred after 1 year in both surgeries.Conclusions: LSG and LMGB were better optimal procedures for super-obese patients with a comparable percent excess weight loss and improvement of associated comorbidities.

scholarly journals Assessment of gallstones formation after bariatric surgery

2018 ◽  
Vol 6 (1) ◽  
pp. 37
Author(s):  
Ahmed E. Elshaer ◽  
Mohamed S. Ammar ◽  
Ahmed M. Fawzy ◽  
Mahmoud G. Hagag
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Gallstone Formation ◽  
Mini Gastric Bypass ◽  
University Hospitals ◽  
Original Weight ◽  
Restrictive Procedures ◽  
Surgery Department

Background: Gallstone formation is a common complication after bariatric surgery. Pure restrictive procedures such as sleeve gastrectomy and gastric banding theoretically should result in less gallstone formation because the food continues to follow the normal gastrointestinal tract.Methods: This study is prospective and retrospective study will be done on fifty (50) patients with morbid obesity in General Surgery Department Menoufiya University Hospitals and will be followed up after bariatric surgery.Results: There were 50 patients, 43 were females (86%) and 7 were males (14%), 39 were done sleeve gastrectomy (78%) and 11 were done mini gastric bypass (22%) and 31 with BMI less than 40 (62%) and 19 with BMI more than 40 (38%). Present study revealed that role of bariatric surgery in gallstones formation postoperatively is statically significant according to parameters as weight loss of more than 25% of original weight was one of the predictive postoperative factors.Conclusions: With assessment of values of risk factors for gallbladder diseases after bariatric surgery there were significance of degree of weight loss more than 25% of original body weight, the 1st 6 months after surgery, BMI more than 40 kg/m2 and type of surgery as gastric bypass is more gallstone formation than pure restrictive surgery as sleeve gastrectomy.

Management of super–super obese patients: comparison between one anastomosis (mini) gastric bypass and Roux-en-Y gastric bypass

2016 ◽  
Vol 31 (9) ◽  
pp. 3504-3509 ◽  
Author(s):  
Chetan Parmar ◽  
Mohamed A. Abdelhalim ◽  
Kamal K. Mahawar ◽  
Maureen Boyle ◽  
William R. J. Carr ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Mini Gastric Bypass ◽  
Obese Patients ◽  
Super Obese

scholarly journals Type 2 diabetes mellitus status in obese patients following sleeve gastrectomy or one anastomosis gastric bypass

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Gavriella Zoi Vrakopoulou ◽  
Charalampos Theodoropoulos ◽  
Vasileios Kalles ◽  
George Zografos ◽  
Konstantinos Almpanopoulos
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Weight Loss ◽  
Gastric Bypass ◽  
Type 2 Diabetes Mellitus ◽  
Obese Patients ◽  
Group A ◽  
Insulin Dependent ◽  
Group B

AbstractThis study aims to compare sleeve gastrectomy (SG) and one anastomosis gastric bypass (OAGB) in terms of remission of type 2 diabetes mellitus (T2DM) in obese patients. All T2DM patients were followed-up for at least 36 months. The primary outcome was remission of T2DM. Secondary endpoints included weight reduction and the procedure’s impact on quality of life. In total, 53/1177 morbidly obese patients who underwent SG (Group A, n = 28) or OAGB (Group B, n = 25) had T2DM. Preoperatively, the mean Body Mass Index (BMI) values were 52.2 ± 8.5 kg/m2 and 52.9 ± 10.9 kg/m2 for Group A and Group B, respectively. Six patients in Group A were insulin dependent, while 8 were insulin dependent in Group B. After 36 months, diabetes remission was achieved by only 10 patients (35.7%) in Group A. However, in Group B, 22 patients (88%) remained off antidiabetic agents (p < 0.0001), with ΔHbA1c (%) reaching 1.4 ± 1.5% in Group A and 2.7 ± 2.1% in Group B (p = 0.02). Excess weight loss% (%EWL) was again significantly different between the two groups (MA = 79.8 ± 14.5%, MB = 93.3 ± 16.0%, p = 0.003). OAGB is more effective in improving glycaemic control and %EWL, with almost immediate resolution of diabetes, as well as long-term weight loss.

scholarly journals Evaluation of the Effects of Bariatric Surgery in Terms of Weight Loss and Diabetes Remission in the Indian Population

2021 ◽  
pp. 1-7
Author(s):  
Manish Khaitan ◽  
Riddhish Gadani ◽  
Koshish Nandan Pokharel
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Gastric Bypass ◽  
Complete Remission ◽  
Predictive Factors ◽  
Indian Population ◽  
Diabetes Remission ◽  
Obese Patients ◽  
Sustained Weight Loss

<b><i>Objectives:</i></b> The growing prevalence of obesity rates worldwide is associated with an upsurge in its comorbidities, particularly type 2 diabetes mellitus (T2DM). Bariatric surgery is a proven treatment modality for producing sustained weight loss and resolution of associated T2DM providing marked improvement in quality of life with rapid recovery. This study aims to investigate the effects of laparoscopic sleeve gastrectomy (LSG), Roux-en-Y gastric bypass (RYGB), and mini-gastric bypass (MGB) on obese patients suffering from T2DM in the Indian population and their long-term association with regard to diabetes remission, resolution of comorbidities, and percentage EWL. <b><i>Methods:</i></b> Retrospective data of obese patients with T2DM (preoperative BMI 45.37 ± 8.1) who underwent bariatric surgery (RYGB, LSG, and MGB) were analyzed in this study over a period of 9 years. The mean follow-up period was 2.2 years. Following surgery, the clinical outcome on BMI, resolution of percentage weight loss, and T2DM were studied. The predictive factors of diabetic remission after surgery were determined. Student’s <i>t</i> test and ANOVA and McNemar’s test were applied. <b><i>Results:</i></b> Out of a total of 274 patients, complete remission of T2DM was achieved in 52.9% (<i>n</i> = 145) with mean fasting blood glucose and glycated hemoglobin values being 6.1 ± 0.769 (<i>p</i> = 0.00) at 1 year after surgery. The independent predictive factors of remission were age, gender, BMI, preoperative comorbidities, and % EWL. Gender had no correlation with the chance of achieving disease remission. <b><i>Conclusion:</i></b> Based on our results, bariatric surgery proves to be a successful treatment option resulting in sustained weight loss in obese patients suffering from T2DM. It is found to be beneficial for the long-term resolution of T2DM and improving comorbidities such as hypertension and dyslipidemia. The outcome of the different surgical methods is found to be similar for all patients irrespective of the independent predictors of complete remission.

scholarly journals Evaluating the Efficacy of Laparoscopic mini-gastric Bypass Operation in Reducing Weight among Obese Patients

2020 ◽  
Vol 23 (1) ◽  
pp. 89-96
Author(s):  
Islam Khaled ◽  
Mostafa Abouali ◽  
Muhammad Gomaa ◽  
Abd Elraouf Eldeeb ◽  
Haitham Gabr ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Mini Gastric Bypass ◽  
Obese Patients ◽  
Bypass Operation ◽  
Gastric Bypass Operation

scholarly journals P-B02 Does the length of  alimentary limb  make a significant difference  in the weight loss in  Roux en y gastric bypass patients?

2021 ◽  
Vol 108 (Supplement_9) ◽  
Author(s):  
Mayank Bhandari ◽  
Sabyasachi Chowdhary ◽  
Milind Rao ◽  
Gopinath Bussa ◽  
Julie Holm
Keyword(s):  
Weight Loss ◽  
Gastric Bypass ◽  
Statistical Significance ◽  
Limb Length ◽  
Alimentary Limb ◽  
Significant Difference ◽  
Alimentary Limb Length ◽  
Biliopancreatic Limb ◽  
Group A ◽  
Group B

Abstract Background Roux en Y gastric bypass (RYGB) surgery for morbid obesity is considered as gold standard, but there can be a difference in the length of alimentary and biliopancreatic limb to achieve optimum weight loss. Till now there is no agreed consensus on the ideal limb lengths and their effect on the weight loss. We would like to evaluate the change in the alimentary limb length on the weight loss after the gastric bypass surgery,  as a short to medium term single center study. Methods A retrospective analysis from prospectively maintained   database of 523 patients who underwent RYGB from  2012 till 2018 was done. Patient who had at least a follow up of 2 years(n = 388) were included.  At our center we use alimentary limb of 120 +/- 10 cm for Body Mass Index (BMI) &lt; 40 kg/m2 (group A)  and 150+/-10 cm for the BMI &gt;40 kg/m2  (Group B). The biliopancreatic limb length varies from 50 to 70 cm and this does not change with BMI.  The percentage excess weight(EWL) loss was measured and analyzed  at 1st  and 2nd year post operatively. We used paired t test to check for statistical significance. Results There were 172 patients in Group A and 216 in Group B. The number of females were 330 and  males were 58.   The average age was 44 years .  The mean  preoperative  BMI for the 120 cm limb group was  37.1 kg/m2 and  that for  150 cm limb was 45.3kg/m2. The EWL for the group A at 1 year and 2 year post op was a  Mean and standard deviation  of 79.3% +/- 39.4% and 78.3% +/- 35.2% respectively and for group B was 58.8% +/- 26.6% and 58.6% +/- 23.2% respectively. The difference was statistically significant (p &lt; 0.001) . The analysis and interpretation for metabolic syndrome is yet to be determined.   Conclusions In our study, Increasing the alimentary limb length for higher BMI reduced  EWL. This is consistent with few other publications regarding the same. This has resulted in a  change in our practice namely keeping the length of alimentary limb constant and varying the BP limb length. We will be analyzing  and presenting this data in future.

Roux-en-Y gastric bypass for super obese patients: what approach?

2015 ◽  
Vol 12 (2) ◽  
pp. 276-282 ◽  
Author(s):  
Nicolas C. Buchs ◽  
Dan E. Azagury ◽  
François Pugin ◽  
Minoa K. Jung ◽  
Olivier Huber ◽  
...  
Keyword(s):  
Gastric Bypass ◽  
Obese Patients ◽  
Super Obese
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